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Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique
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[Robot-assisted pancreatic resection].

B Müssle1, M Distler1, J Weitz1

  • 1Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie (VTG), Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|March 22, 2017
PubMed
Summary
This summary is machine-generated.

Robot-assisted surgery is now standard for some pancreatic resections, offering skill advantages in complex reconstructions. However, high costs necessitate expert programs for optimal outcomes and reduced hospital stays.

Keywords:
Da VinciDistal pancreatectomyPancreatic resectionPancreatoduodenectomyRobot-assisted

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Area of Science:

  • Surgical Technology
  • Gastroenterology
  • Oncology

Background:

  • Robot-assisted pancreatic surgery has evolved from a debated concept to an established technique in specialized centers.
  • It is frequently employed for distal pancreatectomy and pancreatic head resection procedures.

Purpose of the Study:

  • To evaluate the benefits and challenges of robot-assisted pancreatic surgery compared to traditional laparoscopic approaches.
  • To explore the impact of robotic technology on surgical skill acquisition, patient outcomes, and healthcare economics.

Main Methods:

  • Comparative analysis of robot-assisted versus laparoscopic pancreatic surgery outcomes.
  • Assessment of skill acquisition for complex anastomoses (pancreatic, bile duct, vascular).
  • Evaluation of cost-effectiveness, operative times, and hospital stay duration.

Main Results:

  • Robot-assisted surgery demonstrates advantages in learning complex anastomoses for pancreatic head resection and total pancreatectomy.
  • Increased costs are associated with robotic systems, requiring highly efficient programs for optimal results.
  • Potential for top surgical and oncological quality, acceptable operation times, and reduced hospital stay duration is achievable with expert robotic programs.

Conclusions:

  • Robot-assisted pancreatic surgery is a viable and advantageous technique when implemented within expert centers.
  • Future advancements like intraoperative fluorescence guidance and augmented reality may expand its indications.
  • Cost-effectiveness and quality outcomes are contingent on program proficiency and efficiency.